Application for Per Session Employment


Media Consent Form




This form is only for those public school teachers who have been identified as working in the afterschool program. It must be submitted to Beverly along with a punched timecard and a copy of each day's attendance. You will complete 2 forms each month (1st to 15th) (16th to 31st) Please do not use this form if your principal is funding you. The district and budget codes only apply to the 2 teachers that are being paid for through the grant.



This form is only for those non- public school teachers who have been identified as working in the after school program.



Use this form to record your students' daily attendance. Students must sign in every day. Student attendance sheets must be submitted with your lesson plan, timesheet and punched timecard.


Teachers in the After School Program. You must submit an outline of your lesson plan along with your time card and student attendance. These lessons should be based on your school's unit plan. They must also be posted on your school's Google site.


Each participating teacher must include the following items.

Punched time card (hand-written cards cannot be processed)

Signed per session form (recorded time must match time card)

Daily Student Attendance (Students Must Sign-In each day)

Daily Lesson Plan (teachers may plan together, but each must submit a copy of the lesson plan)


Paperwork is due on the next school day following the end of the pay period- generally on the 16th and the 1st. Place all documentation in a sealed envelope and leave it in my mailbox at Brooklyn Collegiate. Please check your paperwork carefully. I cannot submit late or incomplete paperwork.

Thank you for your support.
Beverly